OrganizationActive
Jacksonville Youth Sanctuary
NPI 1992933964 · Case Manager/Care Coordinator · Jacksonville, FL
Provider details
- NPI number
- 1992933964
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Rousset, Targeted Case Manager(904) 389-5231
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4570 Saint Johns Ave Ste 3
Jacksonville, FL 32210-1844
Phone: (904) 389-5231
Fax: (904) 677-8019
Street-level locationGet directions
Mailing address
4570 Saint Johns Ave Ste 3
Jacksonville, FL 32210-1844
Registry dates
- Enumerated
- 2009-06-29
- Last updated
- 2009-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.